CPT code 38115 covers open surgical repair of the spleen with suture repair and possible excision of irreparable splenic tissue, a procedure most commonly performed for traumatic splenic injuries. This code is significant nationally because splenic trauma is a common indication for emergency abdominal surgery, and accurate coding affects hospital billing, resource allocation, and quality measurement for trauma care.

Key payers considered in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for open splenic repair, typical sites of service, commonly reported modifiers, and how this code interacts with related operative and inpatient service lines. The publication outlines national billing benchmarks where available, notes common documentation elements required for medical necessity in trauma settings, and highlights policy or coding clarifications relevant to operative splenic management.

This summary provides clinicians, coding professionals, and policy analysts with concise information on the clinical intent of CPT code 38115, payer coverage considerations, and the types of benchmarks and policy updates that inform billing and compliance for splenic repair procedures.